{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,7,9]],"date-time":"2024-07-09T20:37:26Z","timestamp":1720557446530},"reference-count":34,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2012,11,21]],"date-time":"2012-11-21T00:00:00Z","timestamp":1353456000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Obesity"],"published-print":{"date-parts":[[2013,6]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>What is already known about this subject<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>Lifestyle intervention is the most common treatment strategy for children with obesity.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Specialized units for the care of children with obesity report significant effects of lifestyle treatment.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>In children, the physical activity component in lifestyle treatment is often well accepted.<\/jats:p><\/jats:list-item>\n<\/jats:list><\/jats:p><\/jats:sec><jats:sec><jats:title>What this study adds<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>Two lifestyle treatment programmes in primary care for children with obesity both gave a reduction of body mass index significantly greater than the change observed in a non\u2010intervention comparison group of children with obesity.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Substituting one\u2010third of nurse\u2010led treatment sessions with sessions led by physiotherapists in one of the programmes did not improve the outcome.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>The efficacy of treatment in primary care seems to be comparable to that reported in the literature.<\/jats:p><\/jats:list-item>\n<\/jats:list><\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the efficacy of lifestyle treatment in primary care for children with obesity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In a multicentre study, sixty\u2010four 9\u2010 to 13\u2010year\u2010old children with obesity were randomized to one of two 12\u2010month lifestyle treatment programmes. The only difference between the programmes was that a physiotherapist substituted the nurse in one\u2010third of the sessions in an attempt to stimulate physical activity. For comparison, children with normal weight and overweight, and an age\u2010, sex\u2010 and body mass index\u2010matched non\u2010intervention group of children with obesity were used.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Anthropometry and laboratory data differed significantly between children with obesity and normal weight at baseline. The follow\u2010up at the end of treatment was attended by 55 children with obesity, 28 and 27 in each treatment arm. The mean (standard deviation) body mass standard deviation score changed by \u22120.36 (0.3) in the arm involving a physiotherapist and by \u22120.33 (0.2) in the other arm. These outcomes were not significantly different. Both reductions were significantly greater than the change of \u22120.14 (0.3) observed in the non\u2010intervention comparison group of children with obesity<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The efficacy of treatment in primary care for children with obesity seems to be comparable to that reported in the literature. <jats:styled-content style=\"fixed-case\">ISRCTN<\/jats:styled-content>44919688.<\/jats:p><\/jats:sec>","DOI":"10.1111\/j.2047-6310.2012.00105.x","type":"journal-article","created":{"date-parts":[[2012,11,21]],"date-time":"2012-11-21T20:06:12Z","timestamp":1353528372000},"page":"207-217","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["A controlled study of lifestyle treatment in primary care for children with obesity"],"prefix":"10.1111","volume":"8","author":[{"given":"S.","family":"M\u00e5rild","sequence":"first","affiliation":[{"name":"Department of Paediatrics Institute of Clinical Sciences Sahlgrenska Academy at University of Gothenburg  G\u00f6teborg Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"Gronowitz","sequence":"additional","affiliation":[{"name":"Department of Paediatrics Institute of Clinical Sciences Sahlgrenska Academy at University of Gothenburg  G\u00f6teborg Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Forsell","sequence":"additional","affiliation":[{"name":"The Pediatric Outpatient Clinics  Alings\u00e5s Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Dahlgren","sequence":"additional","affiliation":[{"name":"Department of Paediatrics Institute of Clinical Sciences Sahlgrenska Academy at University of Gothenburg  G\u00f6teborg Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"Friberg","sequence":"additional","affiliation":[{"name":"Department of Physiology Sahlgrenska Academy at University of Gothenburg  G\u00f6teborg Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,11,21]]},"reference":[{"issue":"1","key":"e_1_2_9_2_1","article-title":"Interventions for treating obesity in children","author":"Oude Luttikhuis H","year":"2009","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009-1955"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-789X.2011.00940.x"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1038\/ijo.2010.255"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)66837-7"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/1090198104263660"},{"key":"e_1_2_9_8_1","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1542\/peds.110.S1.210","article-title":"Management of child and adolescent obesity: attitudes, barriers, skills, and training needs among health care professionals","volume":"110","author":"Story MT","year":"2002","journal-title":"Pediatrics"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.297.24.2697"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa050080"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.320.7244.1240"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1172\/JCI9397"},{"key":"e_1_2_9_13_1","unstructured":"V\u00e4stra_G\u00f6talandsregionen.Handlingsprogram mot \u00f6vervikt och fetma i V\u00e4stra G\u00f6talandsregionen. 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